Is there an advantage to ‘catheterless’ radical prostatectomy?
Some doctors who specialize in robotic surgery advocate performing a radical prostatectomy without leaving a urinary catheter in place after surgery. Instead, a small tube is inserted directly into the bladder and attached to a urine bag. A ‘catheterless’ open radical prostatectomy is equally feasible. However, at the Smilow Center, we have found that the small bladder catheter can become occluded with blood clots after a robotic radical prostatectomy , which can necessitate a visit to the emergency room for catheter irrigation. For this reason, Smilow Center surgeons do not offer catheterless open or robotic radical prostatectomy, as the risks far outweigh the benefits.
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